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Pre-Service Questionnaire


The purpose of this questionnaire is to ascertain conditions before we arrive on site. This helps us to better plan your service and improve your experience.

If you wish to add additional information on any topic, use the "Additional Information" box at the bottom of this questionnaire.

A. Regulatory Compliance

B. COVID-19 Incidents

(mm/dd/yyyy)

C. Infection Prevention Measures

D. Testing Conditions

E. Infection Notification

T K Group Notification Contact
Name: Denise Wingo
Title: Director of Operations
Phone: 815.332.3460